Hospitals are concerned about the administrative burden posed by a proposed CMS rule that would ban them from Medicare and Medicaid if they fail to disclose that they are working with providers or suppliers who have been barred from the programs, or who owe money to the government.
The rule implements a provision of the Affordable Care Act requiring anyone doing business with Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) to disclose any current or previous direct or indirect affiliation with a provider or supplier that has uncollected debt, or that has been suspended, excluded or had billing privileges revoked by a federal healthcare programs.
CMS officials said in the proposed regulations that it has concluded that the relationships in those scenarios are sufficiently close that participating providers should be held accountable for them.
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